<!--<div class="wrapper wrapper-content">-->
<div class=" animated fadeIn">
  <div class="row">
    <div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
      <div class="">

        <div class="ibox-content">

          <div id="hospitalizedCard" print-section class="row">
            <div class="col-xs-12 col-sm-12">
              <img height="80px;width:150px;" src="assets/images/validate/logo.png">
              <img class="pull-right" style="height: 80px; width: 80px;margin-right: 5px;"src="assets/images/register/code.png">
            </div>

            <div class="col-xs-12 text-center">
              <h1><span id="hospitalizedCardtitle">入院证</span>
                <div id="caseCard" class="pull-right">
                  <span>病案号:</span>
                  <input type="text" ng-model="user.caseNum">
                </div>
              </h1>
            </div>


            <div class="col-xs-12">
              <div class="row">

                <div class="col-lg-6 col-md-6 col-sm-6 col-xs-6">
                  <span>入院病区:</span>
                  <input type="text" ng-model="user.position">
                </div>


                <div class="col-lg-6 col-md-6 col-sm-6 col-xs-6">
                  <span>入院日期:</span>
                  <input type="text" ng-model="user.visitHosipital">
                </div>

              </div>


              <div class="row" id="birthdatRow1">

                <div class="col-sm-3 col-md-3 col-xs-3">
                  <span>姓名:</span>
                  <input type="text" ng-model="user.name">
                </div>

                <div class=" col-sm-3 col-md-3 col-xs-3">
                  <span>性别:</span>
                  <input type="text" ng-model="user.aa">
                </div>

                <div class=" col-sm-3 col-md-3 col-xs-3">
                  <span>年龄:</span>
                  <input type="text" ng-model="user.age">
                </div>

                <div class="col-sm-3 col-md-3 col-xs-3">
                  <div>
                    <span>出生日期:</span>

                    <input type="text" ng-model="user.birthday">

                  </div>
                </div>


              </div>


              <div class="row" id="birthdatRow2">

                <div class="col-lg-3 col-md-3  col-sm-3 col-xs-3 ">
                  <span>婚姻状况:</span>
                  <input type="text" ng-model="user.marryStatus">
                </div>

                <div class="col-lg-3 col-md-3  col-sm-3 col-xs-3">
                  <span>民族:</span>
                  <input type="text" ng-model="user.nation">
                </div>


                <div class="col-lg-3 col-md-3  col-sm-3 col-xs-3">
                  <span>籍贯:</span>
                  <input type="text" ng-model="user.nativePlace">

                </div>

                <div class="col-lg-3 col-md-3 col-sm-3 col-xs-3">
                  <span>职业:</span>
                  <input type="text" ng-model="user.occupation">

                </div>


              </div>


              <div class="row">

                <div class="col-lg-12 col-md-12  col-sm-12 ">
                  <span>出生地:</span>
                  <input type="text" ng-model="user.province">省(市)
                  <input type="text" ng-model="user.area">县
                </div>


              </div>


              <div class="row">

                <div class="col-lg-12 col-md-12  col-sm-12 ">
                  <span>身份证号:</span>
                  <input type="text" ng-model="user.IDcard">
                </div>

              </div>

              <div class="row">

                <div class="col-lg-12 col-md-12  col-sm-12 ">
                  <span>户口地址:</span>
                  <input type="text" ng-model="user.address" style="width: 400px;">
                </div>

              </div>

              <div class="row">

                <div class=" col-sm-6 col-xs-6">
                  <span>联系电话(家庭):</span>
                  <input type="text" ng-model="user.landline">
                </div>

                <div class=" col-sm-6 col-xs-6">
                  <span>联系电话(手机):</span>
                  <input type="text" ng-model="user.phoneNum">
                </div>

              </div>

              <div class="row">
                <div class="col-lg-12 col-md-12  col-sm-12">
                  <span>入院诊断:</span>
                  <textarea required="required"
                            ng-model="user.diagnose" name="user.diagnose"
                            class="form-control ng-pristine ng-untouched ng-invalid ng-invalid-required"
                            rows="5"></textarea>
                </div>
              </div>

              <div class="row">
                <div class="col-lg-12 col-md-12  col-sm-12 ">
                  <span>ICD-10编码:</span>
                  <input type="text" ng-model="user.ICDcode">
                </div>
              </div>

              <div class="row">

                <div class="col-lg-12 col-md-12  col-sm-12 ">
                  <span>医疗付款方式:</span>
                  <input type="text" ng-model="user.payType">
                </div>
              </div>

            </div>

            <div class="row">

              <div class="col-lg-12 col-lg-offset-8  col-sm-12 col-xs-offset-8 col-xs-12">
                <span>签名:</span>
                <img src="assets/images/validate/signature.jpg" style="height:100px;width: 100px;">
              </div>

            </div>

          </div>

          <div class="row" ng-hide="printShow">
            <div class="col-lg-12 col-md-12 col-sm-12">
              <div class="pull-right">
                <a href="" class="btn btn-white" ng-click="edit()"><i class="fa fa-pencil"></i> 编辑 </a>
                <a href="" class="btn btn-white" ng-click="save()"><i class="fa fa-check "></i> 保存 </a>
                <a class="btn btn-primary" ng-click="print()"><i class="fa fa-print"></i> 打印 </a>
              </div>
            </div>
          </div>

        </div>

      </div>

    </div>
  </div>
</div>
</div>


